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Pennsylvania rates for MS-DRG 616

Amputat of lower limb for endocrine, nutrit, & metabol dis w MCC

Facilitymedian $57,544 · 10th–90th $31,623–$85,1140%10%10th90th$57,544$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32,359.37 / $57,543.99 / $87,096.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $81,283.05 / $107,151.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $52,480.75 / $77,624.71
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61,659.50 / $61,659.50 / $74,131.02
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $57,543.99 / $70,794.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $53,703.18 / $112,201.85
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $57,543.99 / $83,176.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $30,902.95 / $44,668.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $44,668.36 / $81,283.05